1. Home
  2. Directory
  3. Kentucky
  4. Paducah
  5. Internal Medicine
  6. NPI Profile

DR. LUIS A CONCEPCION M.D.
NPI 1194778449
Internal Medicine - Hematology & Oncology in Paducah, KY

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
2603 KENTUCKY AVE, SUITE 403, PADUCAH, KY 42003(270) 444-3930(270) 442-5284 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Luis A Concepcion M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LUIS A CONCEPCION M.D. (NPI 1194778449) is an individual hematology & oncology provider in Paducah, Kentucky, licensed in Kentucky (36933) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Ferrell Hospital Community Foundations, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1194778449
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. LUIS A CONCEPCIONCredential: M.D.
Location Address2603 KENTUCKY AVE, SUITE 403Paducah, KY 42003-3814
Mailing AddressPo Box 8449Paducah, KY 42002-8449 · (270) 444-3930 · Fax (270) 442-5284
Phone(270) 444-3930
Fax(270) 442-5284
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateMay 18, 2006
Last NPPES UpdateDecember 2, 2020
NPPES CertifiedDecember 2, 2020
✔ NPI 1194778449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in KY · 36933
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
2603 KENTUCKY AVE, Paducah, KY 42003
Open in Google Maps ↗

Other Identifiers 3

Other000000206246KY · Anthem
Medicaid64040934KY
Other830007677KY · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Luis A Concepcion M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911915160
PECOS Enrollment IDI20060329000463
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
533 services227 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
338 services220 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
204 services87 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
68 services68 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services18 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ferrell Hospital Community Foundations

Critical Access Hospitals · Eldorado, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141324
Location1201 Pine StreetEldorado, IL 62930 · Saline County
Emergency services

Mercy Health - Lourdes Hospital

Acute Care Hospitals · Paducah, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180102
Location1530 Lone Oak RoadPaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180104
Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Jackson Purchase Medical Center

Acute Care Hospitals · Mayfield, KY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number180116
Location1099 Medical Center CircleMayfield, KY 42066 · Graves County
Emergency services Birthing friendly

Marshall County Hospital

Critical Access Hospitals · Benton, KY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number181327
Location615 Old Symsonia RoadBenton, KY 42025 · Marshall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM LEE TITSWORTH M.D., PH.D.
Neurological Surgery
2603 KENTUCKY AVE, SUITE 402
PADUCAH, KY 42003
McCracken County (270) 443-6472
WINSTON CHUA MD
Internal Medicine (Hematology & Oncology)
2603 KENTUCKY AVE, SUITE 403
PADUCAH, KY 42003
McCracken County (270) 444-3930
DR. BRADLEY WAYNE HOUSMAN MD
Obstetrics & Gynecology
2603 KENTUCKY AVE, SUITE 302
PADUCAH, KY 42003
McCracken County (270) 575-4551
CHRISTOPHER RAY HODGES PAC
Physician Assistant
2603 KENTUCKY AVE, SUITE 304
PADUCAH, KY 42003
McCracken County (270) 415-4800
DR. JOSEPH CHARLES ASHBURN M.D.
Psychiatry & Neurology (Neurology)
2603 KENTUCKY AVE, SUITE 304
PADUCAH, KY 42003
McCracken County (270) 415-4800
CHARLES W RANSLER III M.D.
Urology
2603 KENTUCKY AVE, STE 102
PADUCAH, KY 42003
McCracken County (270) 442-3554
UROLOGY GROUP OF PADUCAH, P.S.C.
Urology
2603 KENTUCKY AVE, SUITE 102
PADUCAH, KY 42003
McCracken County (270) 442-3539
DR. BUTLER & ASSOCIATES, PLLC
Physician Assistant
2603 KENTUCKY AVE, SUITE 303
PADUCAH, KY 42003
McCracken County (270) 443-2900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luis Concepcion's NPI number?

The NPI number for Luis Concepcion is 1194778449. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Luis Concepcion located?

Luis Concepcion practices at 2603 Kentucky Ave Suite 403, Paducah, KY 42003. The listed phone number is (270) 444-3930.

What is Luis Concepcion's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Luis Concepcion enrolled in Medicare?

Yes. Luis Concepcion is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Luis Concepcion accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Luis Concepcion as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Luis Concepcion affiliated with any hospitals?

According to CMS data, Luis Concepcion is affiliated with Ferrell Hospital Community Foundations, Mercy Health - Lourdes Hospital, Baptist Health Paducah, Jackson Purchase Medical Center and Marshall County Hospital.

When was this NPI record last updated?

The NPPES record for Luis Concepcion was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.